Provider Demographics
NPI:1790977908
Name:MAJOR, JENNIFER K (DPT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:K
Last Name:MAJOR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 PLAZA DR.
Mailing Address - Street 2:UNIT 6
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074
Mailing Address - Country:US
Mailing Address - Phone:207-289-1010
Mailing Address - Fax:207-289-1011
Practice Address - Street 1:25 PLAZA DR.
Practice Address - Street 2:UNIT 6
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074
Practice Address - Country:US
Practice Address - Phone:207-289-1010
Practice Address - Fax:207-289-1011
Is Sole Proprietor?:No
Enumeration Date:2007-08-11
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT3305225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432670799Medicaid
ME000282302Medicare PIN